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DPN Icu PDF

This daily progress note provides an overview of a patient's condition in the ICU. It includes sections to document information about the patient's airway, breathing, circulation, disability and neurological status, electrolytes, fluids, gastrointestinal status, hematology, infection status, kidneys, lines, medications, nursing care, and treatment plans and orders. The note does not include any specific information about a particular patient.

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haroon
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235 views1 page

DPN Icu PDF

This daily progress note provides an overview of a patient's condition in the ICU. It includes sections to document information about the patient's airway, breathing, circulation, disability and neurological status, electrolytes, fluids, gastrointestinal status, hematology, infection status, kidneys, lines, medications, nursing care, and treatment plans and orders. The note does not include any specific information about a particular patient.

Uploaded by

haroon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DAILY PROGRESS NOTES (I.C.U.

) Diagnosis:
Date: Time:

D.O.A: T.O.A:

Name: _________________ Age/sex: ________ Wt:_____(kg) Vaccination Status:


Birth history: Active Issues:
Presenting Complaints:

A: Airway Self Self Ventilation Mechanical Mode:_____ FiO₂_____


Ventilation e O₂ @____ L/min Ventilation Rate: _____ I.E______

B: Breathing + Chest examination: R.R SpO₂


Gases

pH: pO2: pCO2: HCO3: BE:


C: Circulation + Cardiac exam: B.P H.R
Inotropes
Pulses: CRT:

Supports:
D: Disability & A/F: Pupils: GCS: /15
CNS
Power: Tone: Reflexes:

E: Electrolytes Na: K: Cl: Ca: Mg: P04:


F: Fluids (IOP) Input Type: Amount: Output
G: GIT Abdominal exam: BSR

H: Hematology Hb: TLC: PLT: Retics:


& Hepatic AST: ALT: ALP: STB:
I: Infection + CRP: Blood c/s: CSF: Urine:
Antibiotics

K: Kidneys Urea: Cr: GFR: Scan:


L: Lines IV lines: NG Tube: Foley’s:
M: Medicines

N: Nursing Temp:
care
O: Others
Plans: Round Orders: Doctor’s Sign & Stamp:

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